Procedure

Indicates the record type. For this record it will always be “Procedure”.

Surrogate Key

Surrogate key to a patientCorresponds to a (Patient line in the same file set)’s ID value

Surrogate Key to an EncounterCorresponds to a (Encounter line in the same file set)’s ID value

Procedure description. The ‘Procedure Term’ field is preferred, but this or the ‘Procedure Term’ field must be populated.

Date procedure was performed.

Surrogate Key to a Caregiver. Corresponds to a (Caregiver line in the same file set)’s ID value

code|name|namespace|family|ns desc. Description of the actual procedure. Typically, ICD9/10 or CPT, but could be a Term that is defined by the source system. This field is preferred, but this or the ‘Description’ field must be populated.

code|name|namespace|family|ns desc. “Outpatient procedure” or “Surgical Procedure” or “Bedside Procedure”

code|name|namespace|family|ns desc. A physical location like an OR room or hospital room. This is not a foreign key to a Location Entity.

Surrogate Key to a CaregiverCorresponds to a (Caregiver line in the same file set)’s ID value

Part of Natural Key Identifier. Typically, the source’s or practice’s key Identifier for a patient *Natural Key for existing patient

Surrogate Key to a Record Authority.

Part of Natural Key Identifier. Typically, the source’s or practice’s key Identifier for an encounter *Natural Key for existing encounter

Part of Natural Key Identifier. Typically, the source’s or practice’s key Identifier for a caregiver *Natural Key for existing caregiver

Surrogate Key to a Record Authority.

Part of Natural Key Identifier. Typically, the source’s or practice’s key Identifier for a caregiver *Natural Key for existing caregiver

Surrogate Key to a Record Authority.

Audit data for when the record was inserted/created

Audit data for when the record was last modified

See Term List Format – List of terms

Code|Name. See Data Source Format - Source of the data

code|name|namespace|family|ns desc

See Property Field Format